Organization
VAN HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFF MILLER (ADMIN)
(903) 963-8641
Entity
Organization
Contact information
Practice address
169 S OAK ST, VAN, TX 75790-3529
(903) 963-8641
Mailing address
PO BOX 1030, VAN, TX 75790-1030
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
4671
TX
Other
Enumeration date
10/07/2005
Last updated
08/22/2020
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